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1 December 2009
Clinical Infectious Diseases 2009;49:1749–1755
MEDICAL MICROBIOLOGY
INVITED ARTICLE
Antimicrobial Susceptibility Testing: A Review of General Principles and Contemporary Practices
抗生素敏感试验综述: 原则和实践
James H. Jorgensen1 and Mary Jane Ferraro2,3
1Department of Pathology, The University of Texas Health Science Center, San Antonio; and Departments of 2Pathology and 3Medicine, Massachusetts General Hospital and Harvard Medical School, Boston
An important task of the clinical microbiology laboratory is the performance of antimicrobial susceptibility testing of significant bacterial isolates. The goals of testing are to detect possible drug resistance in common pathogens and to assure susceptibility to drugs of choice for particular infections. The most widely used testing methods include broth microdilution or rapid automated instrument methods that use commercially marketed materials and devices. Manual methods that provide flexibility and possible cost savings include the disk diffusion and gradient diffusion methods. Each method has strengths and weaknesses, including organisms that may be accurately tested by the method. Some methods provide quantitative results (eg, minimum inhibitory concentration), and all provide qualitative assessments using the categories susceptible, intermediate, or resistant. In general, current testing methods provide accurate detection of common antimicrobial resistance mechanisms. However, newer or emerging mechanisms of resistance require constant vigilance regarding the ability of each test method to accurately detect resistance.
Received 8 May 2009; accepted 27 July 2009; electronically published 26 October 2009. |
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发表于 2009-11-8 16:18
